Individual
SUSAN C WILKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, RN, CNS
Contact information
Practice address
2018 PULLIAM ST, SAN ANGELO, TX 76905-5148
(325) 659-7290
(325) 659-7291
Mailing address
PO BOX 22000, SAN ANGELO, TX 76902-7200
(325) 659-7290
(325) 659-7291
Taxonomy
Speciality
Code
Description
License number
State
364SM0705X
Medical-Surgical Clinical Nurse Specialist
Primary
245826
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
191554802
—
TX
Enumeration date
08/05/2007
Last updated
12/19/2012
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